Presentation
Pigmented tumor on the posterior wall of the left eye in direct examination.
Patient Data
Age: 80 years
Gender: Male
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Transverse
Flat discoid like mass located in the superolateral aspect of the eye, no contact with the optic disc. It measures 5 mm length x 0.1 mm depth/thickness. No flow on color Doppler.
Case Discussion
Pigmented lesion in ophthalmoscopic correlation supporting a nevus. On ultrasound, differentials are those of posterior wall masses, which include metastasis (tend to show flow on Doppler) and melanoma (choroidal excavation is a feature).